| Organization Name: | DANIEL E KISLOV, M.D. |
| NPI Number: | 1063680585 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL E KISLOV (OWNER) |
| Mailing Address: | 1675 Leahy St Suite 328 Muskegon |
| State: | MI US |
| Postal Code: | 494425500 |
| Phone Number: | 2317275565 |
| Fax Number: | 2317275568 |
| NPI Enumeration Date: | 02/19/2008 |
| NPI Last Update Date: | 02/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0122X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Plastic and Reconstructive Surgery |
| Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |